HomeMy WebLinkAbout17-18767 CITY OF ZEPHYRHILLS
� , , 5335-8TH STREET
(813)780-0020 �$76�
BUILDING PERMIT ��
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18767 � Adclress: 6037 HARRIET ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Sub�ivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0210-00000-0430
Improv. Cost: 3,359.00 OWNER INFORMATION
Date Issued: 8/14/2017 Name: PINECREST MOBILE HOME PARK RESID
Total Fees: 55.00 Address: 6043 HARRIET ST
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-3273
Date Paid: 8/14/2017 Phone: 813-782-6112
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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� Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
F I NAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTiCE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement." '
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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j,� CONT PERMITIEXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION R
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CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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� , 813-780-0020 City of Zephyrhills Permit Application Fax-813-78p-0021
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Date Recelved .., phona=Contact for.Pernttftin � � �6 t:+� - ��f
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Owner's Name ����� Owner Phone Number ���-�O a�'"c����. '
Owner's Address GP �- � 'T / Owner Phone Number � �
Fee Simpie 7ltleholder'Name �� � •Owiner Phone Number '�` ��
Fee Simple Titleholder Addresa ,
308 ADDRESS � J�� LOT# ���
SUBDIVISION � � PARCEI,ID# L/� � � ,(���,� ����
, , . (OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPQSED NEW CONSTR ADDIAL.T � StGN`� '[[� Q DEMOI.tSH
�:e_ INSTALL REPAIR - .
PROPQSED:USE Q SFR Q COMM � OTHER . ,
TYPE OF CONSTRUG`170N �Q• , BLOCK ' [� FRAME ,� STEEL '[�
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DESCRiPT10N OF WORK ��,r �G� �f��� �-ot,�.� ,�'' � �d ,N ;� I�i�
8tlIi.DING SIZE • "SQ FOC>TAGE � . .NEIGhIT .� � Y
QBUt�Dliti}G , $ � VAlUAT10N�2�F�TOTl4L"'CONS't`RUCTION� � .
QE�ECTRIGf1L , � � " AMP SERVICE Q PROGRESS ENERGY Q. W:R.E.C. ,�
QPLUMSING r $ ' ' ; -
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OMECHANtGAL $� f�� VALOATlQN OF;MECFi1WICAL IN3TRLLATlON
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QGAS Q R�OFING Q SPECiPd.TY.��� OTliER•
FINISHED FLOOR ELEVATIQNS �w� FLOOD ZONE AREA [�YEB µNO
BUEE.DER COMPANI': .
SIGNATURE REGISTERED Y/ N �E cua�n Y/N" '
Address , Ltcense# � ' I
ELECTRICIAN. � C�MPANY
SIGNATURE �' REGISTERED Y/ N FEE CURRE�•• '�Y/N
Address � . ., i.icense�#.(. � �
PGtJMBER ' . , - ' CQMt�ANY � �'~ �..• ,
SIGNAYURE' � REGISTERED- - Y,l--N:; �FEE:CURREP Y-/N °
AddrBSS _.LIC@IlSB,# �-. . � —�
MECHANICAI: � . . �,�,� {�,��,,,,�� GOMPANY �f-I � ,� , .D`�t3 NC S�'t C �-�
SIGNATURE S' ~~I�����`��'!` ,� REGISTERED . Y./ N„ 5 „ ,FEE:CURRE�` YI�N � . .. . �
Addra�s� 7 T=l 1y7 ��� � . � � � � Licsrise#� ��.�0��h'.�.���
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' SIGNATURE •. � � ' ' ' ' " �REGISTERED � Y/ N_�� �.FEE CURRE� Y/N
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�dC888 "� . .. HF. . y� �CBti$9�'� � " v�.
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RESiDENT1Al;.� :Attach'{2)aFlo#�Ptlan's;.(2}sefs:of<BuEldlrig=Pleiis;'('1)set of�Ertiergy4Farms;-.R-0�W Pemiit far new ccnsWctton, , _. ,_
;���Minimum�ten�(a1,0)�working�days„after:submlttal date:"::Requlred o"nsite;iCo`nstiucfton:Rlans;Stormwater"Plans w/`Silt`Fence installed,
.;�`�j' "Sanitary Fard�lldeg;8�;,1�;dumpster�Site Waric.,Pertnit;#o�,subdivislon"s'/large`:pro]ect's,=.'-.-�;:- , ' . .
COMMERCiAI. Attach{3)°coii�plete sef`s'of`Biiitdiiig Plaiis pltts a Life'Safefy Page;{'1}set af Energy Forms.R-O-W Permit for nexr caristnict3on. °
M(nimum ten(10)working deys after submittal date. Requlred onsite,CansWction Plans,Stormwater Plans w/Silt Fence installed, �
Sanitary Facilides&1 dumpster.Site Work Permit for all naw projects._All commerctal requlrements.must meet compliance` � �
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SlGN PERMIT AttacFi{2)sefs af Eisgiiiee[ed:Plans;. : .� -
•`""PROPERTY SURVEY,required�for_all NE�'V aanstrucNon., - _
Dlrections: � , .`, , _ ` �
Fill out applicaUon completely.
Owner&Contractor stgn back of applica@an,nptarized
!f aver�2500,a Noftce cf Cammencement i�requlred. {AtC upgrades over 3T500}
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" Agent(for the contractor)or'Pbwer df Attbmey'(for tFie owner)would be someone with�notarized letter from owner autharizing same
a1tER THE COUNTER PERMI'fTING� -- ;(Front of•Appticatian On{y} - ' _ _
Reroofs if shingles Sewers " Service Upg�ad��-A�'�"`"°'F�nces(Plot/Survey/Footage) � " �i � � �
Orivewaya-Nat aver Counter if on pubiic roadwayrs..need's ROVN' � ,
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NOTtCE OF DEED RESTRiCT10NS: Ttie u�nderslgciect,under�tands:^ttt�t,#hls:.p�rml��may be:subjecf.to:�deed"�resUlctioiis�` � _.. -Y
which majrkie�m�ore��res#�ictive�th��Gounty'�reg�lat(ons:'���=The undecsigned"assuriri�s-'responsitiilttji'for�corinpliarice with any �
app4lcable deed=restrio#ions. :. • _�. _ . , , ... . . . .,
UNLICENSED• CONTRACTORS .AND CONTRACTOiB RESPONSIBiLiTI�S: -°#f=the��ouvner°has°�hireii��a contractar or
contraators to undertake work�they r�tay.be.;�requl,re,d.to.;be;licensed.in_accardance.with s#ate.anddocal regulattons:�If�the�� -
contractor is not'ticensed-as��reqrsired`,-6y law, bo#irthe ov�mer.a��=contraator mayr'��be=�ctted for�a�misdemeanor viotaHon
under state law. ff the awner ar Intended�,conhactor;;are,;uncertain as to what Itcensing.requlre�nents�mey��apply�:�for•�tFie�• � "
fntended wcirk,tFiey are advlseii fo cairi#act tliaPasca Countyr_Builiiliig'inspection�Dhilslon--l:Icensing Sea#lan at 727-847-
8009. Furttiermore, if the owrier Nas hined a c�onf�actor�or contraotors, he is adv(sed to have the contractat(s),sign, .
portlons of the:"co�tractor Block° of thls_appilcatton..fo.r..which.they,will..be..r:es�.onslble:- lfryou,��asFrlhe owner'slgn'��a's'=the�' ;� '
� ,�...,....:._�..,
co�tractar; #hat�may be an indication that�1ie=is not:properly iicensed'arii3''Is'iiot erif�led tb pei�inittl'ng pcivlleges in Pasca
County. ' . . ; �;�:,;�<.�..,:. � �
TRAN3P.ORTA�'1fJN�iMPACTIUTILI?i'IES=IMPAG'�/0.N6 REgQURCE RECOVERYfEES;�T�e undetslgtied-ut�detsfands ,
that Transpartation Impact Fees and.Recouree Recovery.Fees msy;apply�;#o�the,!constnuction.of new,buildings,jchange��of'=��'�'=`�� �`"-
use in ex9sting bulldings, or��expattsitin�fof=texlsti�i�?i�u!ldings; as speclfled.ln P�sc+� County C?r'tlfnance number 89-07 and.,
SO-OT, as amended....:The underslgned also;�understands, that such fe,es;�;as�mej�:6�=,due;aw,ili�be identified at#heytime°`of='� ��•�� �'
permitting. it Is fu"r'tfier understood that Transp�ortation Impact�Fees and'�Resou�ce.�Recove•'ry'rFees,mus#be pald prior to
recelving s"ce�ficate=ot�-occupancy"�ar�flnal��.pavuer;�ele�se:��:If`tt;te.projec#;,.does�.tio��lnrrolve:a�certificate of occupanicy-of=�';�;. ��:' ,
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final powec release,��the;fees mu�t�6ie patd'':prtor#a:;pecmit issuance, Ft��tk�ermore;'�if:.Pasco�_County�lNaterlSeweralmpact � � .�.-•
fees are due;theyMmust be:�pald,:pilor.to permit;issuaoce�:ln.accordance wttli:appltcable Pasco:Gounty o��inanc�s. �
C�NSTitUCTiON�t1EM't.AVli'�Cfiepter 713�Fiortil�a�tatut�s��a�atmended): if valuatlon of work is$2,500.00,or mare,:i•� �:. �;:�~
certify tFiat I, the-applicant;:have;been-pravided� with--a�copy-of#he:"Elortda•��Constructtori� Uen :Law—liomeowne�'s
Protection Gulde" prepared by,.i'ttie Florida Depactmenf.of Agrlcult�re and Cansutner.A#,fairs. If the appticant Is someone. . ,
other than the"owner", I certtijt'.that.l haye,obtained�a°copy;of..the�abQve.rlescNbeddocui�ent°:and,pramisi�:in,gobd'falth.to . ,`._
deliver it to::#he:.'owne�`nprior�to�comriiericem�n#:'` . , , . . � . . - . .
CONTRACTOR'S/f3WNER'S AFFIDAVIT: l.cert�jr.�th�t,all�the�,informatlon:.in�thia appltcation is accurate and that all wark
w[II'be done in complt�nce wilh all.app!lcable'laws regtilattng construction, zoning and��tand��devetopment. Applfcatlan 1s
hereby made ta obtain .a:permit.;to,;doi;work,:�and:Instatlatian as ind[�eted:��-..:t. certffyr that no work�or instattatton tias -
commenced p�io� to Issuance of'a permtC�and thaf.all�work will be pertarmed�to meet standards•of all laws regula�ing-
construction, County and C�fy codes, zoning regulatic�nsr and land development r.egtilat�ons�in`the Jurtsdtc#lon:- !:ai'so..
certify that ( uaderstand that the regulations af other gavernment agencies may�apply'ta the.intended work, and that it is
my responsibllity to Identify�what.actions 1 must�take:to be5ln:.compli�ttce�.,S.uch:agencfes fnclude but are.not Ilmtted to:
- Department of Ertvironmentai��Proteciion-Cyp�ess.`B�yhead�;�Wetland Areas and Environmentally Sensltive�
4�ands�WaterlWaskewater Treatment.
- Sauthwest Ftorlda UVater Nlanagement�".•Distric#:1Nells;"_Cypress.'�8ay,heads; VNeftand Areas, Attaring
Watercourses. � ,
- Army Corps oF Engineers=Seawafls�`Docks,IVavigable Vitaterways.
- Depar#ment of,Health;:,&,.Rei�abl(itattve;Ser,vtces/Envitonmenkoal, Hea�lth Uflit-WeD.s� Wastewater�Treatment, �
Se�tic Tanks.._. '° '. � ' � . - . -
- US Envtronmen#ai Protectbn Agency-Asbestos abatement.....
- Federal Avlatton=�AuthoHly-Runways: �
!understand that the_foliowing:�restr.ictlons apply to the use of flfl:•
- Use of flll is not aliawed in;Flood:Zone"V"unless expressly permitted.
- If the�flU'ma#eNa! is #o-be useil:�'!n :Flood Zone. "A". it is understood that a drainage ptan 'addressing a
"eompensating vatume"will be submitted a#�ime af.psrmitt(ng which is prepared by a professionai engineer
Iicensed by the�taYe of:Flo�ida: -- - ._ _
- . If th� #�II materlal-ls to be-used In Flood �one 'A" in�connec�ian�wi#h�a�permitted build#ng using s#em wafl
construction, I certify that flll�:wall:be used only.to.flll the area within�the•stem<wall:
- If flll materlal�is-to-be used in.any area, 1 �certlfy tfi�at .use of`such fill w111 not adversety affec# �djacent
praper#ies. if use of fili is,found to adversety,�ffect adja�ent�,pra�perties�.the owner may be'cited for�►lolating,
ti the condi#ions�of the build(ng.p�rmit (s"sued�under the��attacfied_permit.appllcatton; for::lots-less,than.one (1)
acre wtilcFi are elevated`by fltl;a�t engtneer�ed dratnagi�ptan is required.
If I am the AGENT�OR-THE:OYIFNER, I;.pr"cimise in good f.alth#o Infarm the awner of=the�permitting candfktons set forth in
lhls aftidavlt'prfor ta commer�cing constrva#fon. �i understan�that-a-separate permlt may be requtred for ele�trtcal work.
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plumbing,,signs, weiis,.,poots;,alr,conditioning,.ga�s, or.other instali�tlons nol�spec�ically included�tn.the applicz�tion. .A �
permit issued shall be conshuad to'be�a�Ilcense`�to�proceed w(th tHe virork and nat�as:autheNty.:to:v!olate,-°caricei, alter, or
set aslde any provlsfa�s af#he.tecF�nfcal c�des;�nar shall issuance�of a.petmit.pr.event the 8ulldlrig CJ�#ficial from therea�ter
requiring a correction af,ecrors ln plans,-cons'tnictian orviolatlons of�any codes:� �very p�ermlt=lssued"sFiell�6ecorrie-invalid
uniess the work suthotized.by such permlt:�is.commenced•uvlthtn st�c.c�onths of pern�lt Issuance, or if wark authorizecf by
the permit is suspended or�.abandoned.for:a;period,of�six��f8)inontTis.:af#er the tirne the�work is commenced. An e�ctensian
may be requested�_In wrl#Ing,;.ffom.ttie.'Building,Officiel for a perlod-,not.to.exceed�ntnet�-(80)�days a�d°w1l1 demonstrate
)us#�iabie'cause for:�#he e�enstan: If worlc ceases:for ninety{90)cons.ecutive:daysr..the jab�is considered aba�doned.
V4tARNIN� TO OWNER; YQUk;,�Ai1.IJRE:.7�.,.R�E.CO�2D.A,>�lQ�CE:OF-�COMME�CEME1+tT,MAY�RESUI`T IN YQUR
PAYING TWICE;FOR�IMPROVEMEN�'S�Tfl YOUR�::PROPERIY:_�IF�YO.U�I�1'�EWD'TO���BTAIN•�FINiA►I�EING;'C.QNSULT
IT �1 A. AN i4, Oft _ OR��R =OR�i G�; , . �' , .
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( ONfNER OR AO�NT ... �-d�"L CONTRAGTO � ,
� bscribed and ar afflmned befare me#hts Su b �,d �4{ot aflirmsdpb' ;re me t�
, �/y�r"I b �P G.. � �"' / �rl • vrt � � �'1'i�s� �F-
Who Is/are p anally kn ko.me or:haslhaue ptvduced 1NMo.ls/are p.. anafly ki� _to-nte�or hasfiave�pmducsd�
as id'ert��ce�on: � ..._ es tdentificatton.
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I _ � � Notery Public - `�"=-- - , Notary Publlc
Com' 1 slon No:` Co isslon.No.
A.CAMPBELL ,.��""ra'b SYLVIAA.CAMPBEI.L
Name af NotarY tYR .#�. , ,.,.�qsta�ublic—Stateaf Flofi a Name of Rlotary typed, �r�p n _
� ` '' �� Commission�GG 112939 �. •: Commfssion q GG 112939
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`�' o'�.' My Comm,Expires 1ul 19,2021 .,"� �: My Comm,Expires Jul 19,2021
:�.��°�fL°�`'' 4�nd2dthr0ughMstianalNotsr Asstt, �'��;y�`,.�
,��� 8andedt6mughNalionalNotaryAss�.
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� � . � P�UPOSAL
, � � � PROPA�IE CAS
/ � . AN�.A►l� �r�c.
��c��9�8 ���•���-5i��� �' -'f�P`� � /
a�d.i Allen Rc►ad—Zephvrhill5, FT..33�41
Ph:813-782-�OI3 Fax:813-783-t374 /
• E-mail: bahrs.ot�'ice(�a,tamt�abNv.rr.con3 � � �JO�iL��
Pro sa1 Submitted To: Mr. Harris Date: July 18,2017
E-mail: inec�•cstn�l�c�1 ti��<�1:c���.c��m Phone: ($U 782-6112
Name: Pinecrest MHP ,Iob I�iame: Piriecrest �
Street: 6037 Harriet St �City, State &Zip: Zephyrhills,FL 33542
We hereby submit specifications and estimates for: �
• One 3 Ton Tempstar 14 S.EER air conditioner with 10 kW au:ciliary heat
- • New thermostat
. � Warranty: 1 year labor, 5 years�parts,and 5 years compressor
Total: ...............................................o........................ $3,359.00
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� � Price does not include permit: $120.00- -
IAll material is guaranteed to be as specified. All work to be completed in a workman like manner according to
standard practices. Any alteration or deviatian from above specifications invalving extra costs,wilJ be executed anly
upon written orders, and will become an extta charge over and above the estimate. All agreements are contingent
upon strikes,accidents;or delays beyond our control.This proposal is subject to acceptance within days and '
is void thereafter at the option of the undersigned. i
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� Authorized Signature t�„.��. ��
. . Accentance of Proaosal I
' The a�bove prices,specifications,and.conditions ar ereby accepted.Yo are authorized to do the work as specified.
Payments will be made as outlined above.
ACCEPTED: . Signature �
Date:� �'� ��� 1'� . Signature
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